HomeMy WebLinkAboutX2020-1814 - Permit ApplicationVBuilding
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTALuvUV °
rGrading rDrainage r Elec r' Mech r' Plum Cu yd cut F—Cu Yd Fill
Address (Not mail
Scut M i6 /.e (-
address) r Flood r" Fire f—, Liq F Landslide rN/A Floor Suite No
Description of Work
`� Use F ConstType
ali.I''Iv'x��4 w ii�i�L�rLi �h�rt!(etKd'�Ziis�TZ�3.�•
# Stories # Units (if Res)s
New/Add SFF Remodel SFF—, Garage/New/Add F—''
OWNER'S NAME LasttThLW 1_I
Owner's Address °
nnai oi_ Dir-tic-
City M7Z State FC F t
APPLICANTS NAME Last
Applicant's Address
City [CavC L _ 20 State I `° t
ARCHITECT/DESIGNER'S NAME Last
*_-Di9il
Architect/Designer's Address v
City wli� State 0
First
t `Z03)
Owner's E-mail Address
Cl 610,a1,�V1call
Zip
First) 0fciCA-
Applicant's E-mail Address
►1 evs ul (
Zip ZGq Telephone gf_fTW
First F—, Lic. Nof_�—',
Architect/Designer's E-mail Address
c b�h h _iI` ' CW4151VCaIa
Zip 1� Telephone,lt+.�Z`
ENGINEER'S NAME Last First r._ Lic. No.
Engineer's Address
City State
CONTRACTOR'S NAMEICOMPANY
Contractor's Address ° l
bfioaL
City �'� -- State CA
SETBACKS REAR
SETBACKS LEFT
USE ZONE
SETBACKS FRONT
SETBACKS RIGHT
Engineer's E-mail Address
Zip F_ Telephoner
42-6
Lic. No. _ , Class ,
__.
'Contractofs E-mail Address
661
(r�C_cL,v2�
Zip 9Z.c- - Telephone (vi-�gg
PERMIT NO.
PLAN CHECK NO.
DEVELOPMENT NO l l,&" 0 OIICIOPLAN CHECK FEES $
N.M ISOM